<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input type="hidden" name="ids" id="ids" value="{$ids}">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">提现状态:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio">
                <label for="row[is_open]-1">
                    <input id="row[is_open]-1" name="is_open" type="radio" value="1" checked /> 开启
                </label>
                <label for="row[is_open]-2">
                    <input id="row[is_open]-2" name="is_open" type="radio" value="2" /> 关闭
                </label>
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">备注:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-remarks" class="form-control " rows="5" name="remarks" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">保存</button>
        </div>
    </div>
</form>